So w’ani ne w’ani reyɛ kɔkɔɔ? Momma yensua bilirubin sɔhwɛ no ho ade wɔ nsɛm a ɛnyɛ den mu.

Ɛtɔ da bi a ebia wobɛte nka sɛ w’ani ayɛ kɔkɔɔ kakra, anaasɛ wo nipadua te nka sɛ wabrɛ ma ɛyɛ nwonwa. Anaasɛ sɛ wokɔhwɛ akokoaa a wɔawo no foforo a, ebia wobɛte sɛ nkurɔfo ka sɛ, "Akokoaa no ayɛ jaundice kakra." Ɛnnɛ yɛrebɛka biribi a wɔfrɛ no ‘bilirubin’ ho asɛm, a ebetumi ne eyinom nyinaa wɔ abusuabɔ. Momma yɛnte nea ɛyɛ, nea enti a ɛho hia ma yɛn nipadua, ne nea sɔhwɛ a wɔde hwehwɛ no ka no ase kɛkɛ.

Sɛ yɛbɛka no tiawa a, dɛn ne bilirubin?

Susuw mogya mu nkwammoaa kɔkɔɔ a ɛwɔ yɛn nipadua mu no ho sɛ adwumayɛfo. Saa adwumayɛfo yi nso wɔ nkwa nna pɔtee bi. Sɛ saa nkwa nna no twam, kyerɛ sɛ, sɛ wobɔ akwakoraa a, mogya mu nkwammoaa kɔkɔɔ yi sɛe. Saa na yɛfrɛ no bilirubin, aduru kɔkɔɔ bi a ɛba bere a mogya mu nkwammoaa kɔkɔɔ dedaw no asɛe no.

Saa bilirubin yi fa yɛn mogya mu kɔ yɛn mmerɛbo mu tẽẽ. Mmɛn te sɛ adwumayɛbea kɛse a ɛwɔ yɛn nipadua mu. Ɛfa saa bilirubin yi ne nneɛma afoforo a wɔsɛe no, tew ho, na ɛde nsu bi a wɔfrɛ no ‘bile’ siesie wɔn ma wɔayi afi mu. Saa bilirubin yi na ɛma wo nsuo kɔla yɛ bruu na wo nsuo kɔla kɔla kɔkɔɔ.

Enti dɛn ne bilirubin mogya mu nhwehwɛmu yi?

Ɛyɛ mmerɛw yiye. Bilirubin mogya mu nhwehwɛmu kyerɛ bilirubin dodow a ɛwɔ wo mogya mu. Sɛ oduruyɛfo bi ka kyerɛ wo sɛ yɛ nhwehwɛmu yi a, mpɛn pii no wobegye mogya ketewaa bi afi ntini bi a ɛwɔ wo nsa mu mu na wɔde akɔma aduruyɛdan. Lab no bɛhwɛ sɛ wo bilirubin dodow no wɔ dodow a ɛfata mu anaa.

Sɛ saa dodow yi kɔ soro (kɔ soro) anaasɛ ɛba fam (ba fam) sen sɛnea ɛte daa a , ɛkyerɛ sɛ ebia ɔhaw ketewaa bi bɛba baabi wɔ bere a yɛrebubu yɛn mogya mu nkwammoaa kɔkɔɔ, atew ho wɔ mmerɛbo no mu, na ayi afi nipadua no mu no mu.

Dɛn nti na bilirubin dodow kɔ soro? (Hyperbilirubinemia) .

Nneɛma atitiriw abiɛsa nti na bilirubin tumi boaboa ano wɔ mogya no mu. Momma yɛnte ase saa kwan yi so.

So bilirubin dodow a ɛba fam no yɛ ɔhaw?

Mpɛn pii no, wommu bilirubin dodow a ɛba fam sɛ ɔhaw kɛse. Nnuru bi (e.g. nnuru a ekum ɔyare mmoawa, awo ano aduru) betumi de eyi aba. Ɛnyɛ biribiara a ɛsɛ sɛ wohaw wo ho wɔ ho.

Dɛn ne bilirubin a ɛkɔ soro ho sɛnkyerɛnne?

Sɛ bilirubin dodow kɔ soro a, yɛn nipadua no da sɛnkyerɛnne ahorow pii adi.

• Jaundice: Eyi ne sɛnkyerɛnne titiriw a ɛda adi kɛse. Ɛma w'ani ne wo honam ani fitaa yɛ kɔkɔɔ .
• Nsu a ɛyɛ tumm: Bere a asaabo no yiyi bilirubin a ɛboro so wɔ mogya no mu na ɛkɔ nsu no mu no, nsu no nya kɔla tuntum, te sɛ tii kɔla.
• Nsu a ɛyɛ mmerɛw: Esiane sɛ bilirubin ntumi nkɔ dwensɔtwaa no mu yiye nti, nsu no nya kɔla a ɛyɛ hare a ɛte sɛ dɔte mmom sen sɛ ɛbɛyɛ ne kɔla bruu a ɛtaa yɛ no.
• Wora a ɛyɛ wo yaw: Sɛ bilirubin dodow kɔ soro dodo a, ebetumi ayɛ kɛse wɔ honam ani no ase na ama nnipa binom ayɛ wɔn yaw (a ɛyɛ wo yaw).

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi.

Ɔkwan bɛn so na yɛbɛte sɔhwɛ amanneɛbɔ no ase? Bilirubin a wɔde di dwuma tẽẽ ne nea ɛnteɛ

Amanneɛbɔ a wo nsa bɛka no bɛnya boɔ a wɔfrɛ no ‘Total Bilirubin’. Nsonsonoe abien nso wɔ hɔ a wɔfrɛ no ‘Direct Bilirubin’ ne ‘Indirect Bilirubin’. Nsonsonoe bɛn na ɛwɔ mu?

Susuw mmerɛbo ho sɛ adwumayɛbea a ‘ɛhyehyɛ’ nneɛma.

• Indirect (Unconjugated) Bilirubin: Eyi kyerɛ bilirubin a ‘ɛnyɛ conjugated’ a ɛba mmerɛbo no mu ma ɛho tew. Ɛntumi nwura nsuo mu. Enti, edu mmerɛbo a ɛbata protein (albumin) bi a ɛwɔ mogya no mu no ho.
• Direct (Conjugated) Bilirubin: Eyi kyerɛ bilirubin a ‘wɔakyekyere’ wɔ mmerɛbo no mu, a ɛkyerɛ sɛ wɔatew ho na wɔama ayɛ nea nsu ntumi nwura mu. Eyinom ne nea wɔasiesie sɛ wobeyi afi nipadua no mu aka bile ho.

Sɛ oduruyɛfo no hwɛ saa ahorow abien yi mu nea abu so kɛse wɔ w’amanneɛbɔ no mu a, obetumi anya baabi a ɔhaw no wɔ ho adwene.

Bere bɛn na bilirubin dodow bɛyɛ aniberesɛm?

Bilirubin dodow a ɛfata ma ɔpanyin ne abofra no yɛ 0.2 kosi 1.3 mg/dL. Sɛ ɛboro saa a, oduruyɛfo bi befi ase ahwehwɛ nea ɛde ba.

Dɛn nti na eyi ho hia nkokoaa a wɔawo wɔn foforo titiriw?

Nkokoaa a wɔawo wɔn foforo fi awosu mu no bilirubin dodow kɔ soro kakra sen mpanyimfo. Wɔfrɛ eyi ‘physiological jaundice’. Ɛtaa kɔ wɔ nna kakraa bi mu.

Nanso, ɛtɔ mmere bi a, saa dodow yi kɔ soro yiye.Ebetumi ayɛ asiane ama nkokoaa. Efisɛ, wɔ bere a wɔn amemene no reyɛ kɛse no mu no, bilirubin a ɛboro so yi (titiriw nea ɛnteɛ) betumi akɔ amemene no mu na asɛe no. Wɔfrɛ eyi `(Kernicterus)`. Ɛno nti na nnuruyɛfo dwen nkokoaa ‘jaundice’ ho kɛse no. Sɛ ɛte sɛ nea akokoaa no bilirubin dodow redu baabi a asiane wom a, wobefi ase sa yare.

Ayaresa titiriw a wɔde ma nkokoaa ne ‘phototherapy’ . Sɛ yɛbɛka no tiawa a, wɔde akokoaa no to kanea bruu soronko bi ase. Saa hann yi bubu bilirubin na ɛma ɛyɛ mmerɛw ma nipadua no sɛ ebeyi afi hɔ.

So wobetumi atew bilirubin dodow so?

Sɛnea ɛbɛyɛ na wo bilirubin dodow so atew no, ɛsɛ sɛ wosa tebea a ɛde ba a ɛde nkɔanim no bae no. Wo duruyɛfo no behu nea ɛde ba na wakyerɛ wo ayaresa a eye ma no.

Bere koro no ara mu no, ɛho hia yiye nso sɛ wɔbɛtew nhyɛso a ɛba mmerɛbo no so wɔ ɔkwan a ɛkɔ akyiri so no so.

• Gyae nsa nom koraa.
• Mfa nnuru a ɛho nhia nni dwuma a wunni oduruyɛfo afotu.
• Aduan a ahoɔden wom a wobedi.

Nneɛma a ɛte sɛɛ betumi aboa ma woabɔ wo mmerɛbo akwahosan ho ban.